[Rapid enlargement of the thyroid after acute stress in a case of Hashimoto's thyroiditis].
The case of a female patient aged 63 with a known Hashimoto's thyroiditis is reported. She had been treated for 3 years with 0.125 mg thyroxine. A few days after she just escaped from drowning, she noticed a rapid enlargement of her thyroid gland (50% volume increase at echography). A lymphoma could be excluded by a fine needle aspiration cytology. Antimicrosomal antibodies were increased at 1/409.600. TSH was slightly increased (7.5 mU/l) but not more than the months before, when the volume of the gland was stable. She was treated with 0.15 mg thyroxine and 18 months later the volume of the thyroid gland and the level of antimicrosome antibodies came back to the pre-drowning level. The possible role of stress in the exacerbation of thyroiditis is discussed.
Martin-Du Pan
R C
RC
D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D006042:Goiter / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D015701:Near Drowning / Q000150:complications* / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications*; D013967:Thyroiditis, Autoimmune / Q000150:complications*; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine
D013972:Thyrotropin; D013974:Thyroxine
Agrandissement rapide de la thyroïde à la suite d'un stress aigu dans un cas de thyroïdite de Hashimoto.